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Crime Prevention Program Banquet and Annual Recognition Awards
Registration for Our Thirty-Fifth Year Celebration
Saturday October 19, 2019 at City of Richmond Recreation Center (3230 Macdonald Ave.) 6:00PM-8:30PM
Nominations will be accepted NO LATER THAN October 2, 2019
Registration Contact Information
*E-Mail:Valid e-mail is required
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
*Phone:
*How many people are you bringing with you?
*Would you like to nominate anyone?
Category of Nomination
I am nominating him/her because:
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First Name of Nominee
Last Name of Nominee
Phone Number of Nominee
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